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Individual

ROBERT E FOX

Active
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Individual

ROBERT E FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1873
FL
363AS0400X
Surgical Physician Assistant
PA1873
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290022000
FL
01
Y09QZ
BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/30/2006
Last updated
09/23/2024
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